Journal of pediatric nursing
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During the past decade, our awareness and understanding of arrhythmias in children has expanded immensely. This report discusses the more commonly encountered pediatric rhythm disturbances, including sinus node dysfunction, the various forms of supraventricular tachycardia, ventricular tachycardia, long QT syndrome, and the atrioventricular blocks. The electrocardiographic characteristics, electrophysiological mechanisms, clinical presentation, and current acute and chronic management options for each are described.
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Caregiving for children with chronic illness and disabilities by family caregivers at home is widely recognized as an optimal choice for the child and family. To promote and maintain the health of the child, primary caregiver, and entire family, respite care has been established as an important caregiving resource. ⋯ We found that, despite accessing a variety of respite services, the participants perceived limited actual respite from caregiving. Increased preparation of respite care providers and revision of available services may be means for achieving respite for primary caregivers and their families.
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This article reports a pilot project designed to ascertain what scald burn prevention practices parents of young children used and whether teaching would lead to implementation of burn-related home-safety practices. The sample (n = 49) was followed up longitudinally, and participants completed a survey during two home interviews conducted at 4-week intervals. ⋯ Changes in parental behavior were correlated with ethnicity (p <.05). The results have implications for teaching families effective scald burn prevention strategies.
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In the past, pediatric advanced practice nurse's roles were the Clinical Nurse Specialist (CNS) in the inpatient setting and the Nurse Practitioner (NP) in the outpatient setting. With health care system changes, such as the shifting and blurring boundaries between inpatient and outpatient care, changes were required in the graduate curricula to blend the CNS and NP roles into an advanced practice nurse (APN) role. This article describes the model at Rush University, the advantages of the CNS/NP blended role, the revised APN curriculum, and examples of blended-role APNs in action. The curriculum change to blend the CNS/NP roles addresses the need for the blended APN role in changing health care systems.